Supervisor Request for Slate Access Form

Supervisors: Please fill out this form in order to request Slate access for a member of your staff.

Supervisor Information

Supervisor Name*

Supervisor UD Email*

New User Information

Name*

Preferred Name*

Email Address*

Mobile Number*

*Used for multi-factor authentication.

Title*

Department*

What instance(s) of Slate should this employee have access to?* (Select all that apply)

Undergraduate Instance

College of Business/Braniff Instance

School of Ministry Instance

Please provide the name of another staff member/user that would have the same access as the user/employee above.

Notes*

Supervisor/Approver Signature

By typing in your name below you are authorizing that you are the supervisor of the above employee and have approved their access to Slate.